ancient history of medicine in india
TRANSCRIPT
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ANCIENTHISTORYOFMEDICINEININDIA
The origin of the Indian system of medicine goes back to several centuries of BCE.
With Aryan invasion of India about 1500 BCE, the Vedic period of the Indian system ofmedicine may have begun.
subcontinent are contained in the sacred books of unknown antiquity calledVedas. The Vedas are 4 in number Rig Veda, Sama Veda, Yajur Veda, AtharvaVeda.
ey were an e own y eac ers o e pup s roug wor o mou roug outhe ages.
Atharva Veda for the most part consists of various charms and spells designed to wardoff the effects of diseases and the incursions of enemies.
Atharva Veda is the earliest document in India, in which allusions to medical sciencesare found.
They are of some what primitive character and largely permeated by magic and.
Over the centuries the Hindus greatly improved and supplemented the primitivebeliefs about medicine in the Atharva Veda and started to apply to the art ofhealing.
The body of literature that gradually grew up on the subject of medicine was calledAyur Veda.
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AYURVEDA(Thecompleteknowledgeforlonglife)
In Sanskrit Ayus means Longevity and Veda means Related
knowledge or Science.
Ayurvedic literature deals elaborately with measures of healthful living
during the entire span of life.
Ayurveda looks upon health in totality and defines the physical , emotional,
and intellectual well being of a person as Harmonious state. Serious
health issues negatively impacts all the realms.
Ayurveidic theory asserts that building a healthy metabolic system, attaining
good digestion and proper excretion leads to Vitality. It also focuses on
exercise, yoga and meditation.
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AYURVEDICMEDICINE
It is a system of traditional medicine, native to India and a form of
alternative medicine.
The earliest literature on Indian medical practice appeared during the
Vedic period, in the second millennium BCE.
The Susruta Samhita (Sushruta Samhita), and Charaka Samhita (Caraka
Samhita) are encyclopedias of medicine compiled from various sources
from the mid first millennium BCE to almost 500 CE
Early Ayurveda had a school of physicians and school of surgeons.
Hygienic living (regular bathing, cleaning of teeth and eyes, skin care, oil
massage etc) is a central practice in Ayurvedic medicine.
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InHinduMythology,theoriginofAyurvedic medicineisattributedtothephysician
ofthe
God
Dhanvatari.
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Hinduism and Buddhism had influence on development of many centralideas of Ayurveda.
Nagarjuna,
(the Philosopher)
illness. However emphasis is placed on moderation (eg: food intake, sleep, sexual
activities etc). Balance is known in Buddhism as Madhyamaka.
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CHARAKA SAMHITA AND SUSHRUTHA SAMHITA
Chaaraka Samhita or Compendium of Charaka is one of the oldest and mostimportant writings in Ayurveda. It could have been written by a single personCharaka or by a group of scholars or followers of Charaka.
The language of Charaka is Sanskrit and its style is poetry. It contains 8400 verses,.
edifice of Ayurveda and concentrates on Kaya Chikitsa (internal medicine).
Sushruta Samhita (Collection of Sushruta) presents the field of Ayurvedic surgery.
It is considered to be a redaction of oral material passed on from generation togeneration. The style is both prose and poetry, the latter being the greater portion,and this written in Sanskrit. Though primarily dedicated to surgery, thecompendium also includes medicine, pathology, anatomy, midwifery etc. Also
deals with medical ethics.
The exact periods of these compendiums are not known but believed to be several.
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Charaka introducedthefiveelements(Panchabhutas)whileseekingthe
complexand
its
relationship
with
Nature
as
the
stuff
of
existence.
The
five
elementsare:Earth(Prithvi),Water(Jala),Fire(Agni),Air(Vayu), Sky
Akash
Charaka statesthatanindividualisaunionoffiveelementsand
consciousnessissynonimus withself.
isessentialtocomprehendphenomenasuchasknowledge and
ignorance,pleasureandpain,lifeanddeath,andselfawareness.This
knowled eis e uall necessar tounderstandthe henomenarelatin to
diseasesand
their
management.
Everythingisderivedfromthefive elements inthefinalanalysis.
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THETHIRDGREATCLASSIC
ANDTHELESSERTHREECLASSICS.
VAGBHATA: ASHTANGAHRIDAYAM andASHTANGASANGRAHA(Around400CE)
HRIDAYAMiswritteninproseandSANGRAHAisprimarilypoetrywithprose.
Lesserclassics:
1. SHARNGADHARASAMHITA(15th centuryAD)
(AdigestedversionofAyurvedaknowledgeandispricedforitsenumerationand
descriptionof
pharmacological
formulations).
2.BHAVAPRAKSHA(16th CenturyAD)
(Acompactrepresentationofearlierclassicscomprisingof10,268verses,
genera y
ea ingwit
Kaya C i itsa .
3.MADHAVANIDHANAM(700AD)
o o yu v o y w y o o
diseasesbut
not
much
on
treatment.
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byAS
and
AH.
The
complex
ideas
in
Charaka are
simplified
and
expressed
inpoeticlanguageinAH.
ThecoreofAyurvedic doctrines,profilesofdiseasesandprocedures
remainedunchanged
over
centuries
whereas
changes,
which
did
occur,
M.S.Valiathan,onanalysisofAshtangahridayam .
s
a
me ca y
or ente
wor
w t
pr nc pa
emp as s
on
me c ne
(Kayachikitsa)andonlybriefreferencestosurgical,obstetricandsimilar
topics.
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THETHIRDGREATCLASSICS..contd
AHoweditsgreatappealoverearliertextstothebeautyofitsverses,its
masterlystyleofcondensation,logicalarrangementoftopics,clarityof
. , ,
Tibetanmany
centuries
ago
and
more
recently
into
European
languages.
csan o eso con uc cover ngnosean mou ur ngsneez ng ,
eating(seasonalfoodandinmoderation),honesty(talkingtruth),respect
forall
living
creatures
etc
are
covered
in
Vagbhata classics.
In
addition,
, , ,
foetal developmentandchildbirtharealsodescribed.
naccep a e
con uc s
are
a so
e n e .
erence
o
goo
con uc
confersontheindividuallonglife,goodhealth,prosperityandhighrepute.
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ASHTANGAHRIDAYAM,ThelegacyofVagbhata
(contd)
Morethan70chaptersarededicatedtodifferenttypesofdiseasesrangingfromglandularswellings,ulcers,tumors,piles,
hemmorhoids,eye
diseases,
vision
defects,
fractures
and
dislocations,andfromhiccupstoheartdiseasesetc.
Besides,infectiousdiseaseslikeleprosy,venerealdiseases,urinary
infections,diarrhoea,
as
well
as
insanity,
seizure,
epilepsy
etc
are
alsodescribed.
TheidentityandperiodofVagbhata arecontroversialbutmajority
ofthe
scholarly
community
believes
that
he
was
anative
of
Sindh
wholivedin6th century.HisclassicsfranklyacknowledgestheCharaka andSushruta Samhitas.
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Ayurveda wascalledThescienceof8components (Astanga):
Internalmedicine(Kaya cikitsa)
Pediatrics
Surgery
Eyeand
E&T
Psychiatry(Bhuta Vidya)
Toxicology
Preventionofdiseasesandrejuvenation(Rasaganas)
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Treatment
Ayurvedic medicines are given as powders, decoctions and pills depending on the
constitution, body type and other factors.
o system to prescr e a spec c me c ne to a spec c sease, even as a s ng e
medicine has a wide range of applicability in various disease conditions. Prescriptions
are made individuall and medicines are safe if authenticall re ared.
Both internal and external therapies are advocated. The aim is to restore the total
health of the patient and immunity. Ayurveda believes that the human body is akin
to nature and the treatment lies in altering a diseased body to match the natures
rhythm .
PANCHAKARMA forms a central part of the therapy. It is a detoxification or internal
cleansing process. Body toxins are eliminated through external orifices mouth,
, . , , ,
diet, routines and regimens.
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TakenfromMSvaliathan
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SAFTEYCONCERNS
toxic heavy metals.
According to a 1990 study on Ayurvedic medicines in India, 41% of the products
tested contained Arsenic and 64% Lead and Mercury.
Safety concerns have been raised about Ayurveda in two US studies because 20% of
Ayurvedic treatments contained toxic levels of heavy metals such as Lead, Mercury
and Arsenic.
stu y oun tox c eve s o eavy meta s n yurve c preparat ons ma e
in south Asia and sold in Boston area. A 2008 study of more than 230 products found
approx 20% supplies from Indians contained Mercury, Arsenic or Lead.
Due to these concerns the GOI has ruled that Ayurvedic products must specify their
metallic content on the product labels. Besides, the herbs could be toxic and reliable
information on herbal toxicity is scanty.
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SUSHRUTAANDSURGERY(PERIOD 440BCE 350AD)
SUSHRUTAS name stands out in articular amon st the distin uished names. He istitled as the Father of Surgery
Fashionin of an artificial ear lobe.
The famed surgeon in the home of a noble, to begin on an Otoplastic operation. The
patient drugged with wine, is steadied by relatives and friends.
He will use a section of flesh to be cut from patients cheek, to be attached to the
stump of the mutilated organ. Details of the procedure and surgical instruments are
found in Sushruta Samhita.
Why plastic surgery attained importance?
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SURGERYINAYURVEDA
Alcohol was used as narcotic for patients undergoing operations.
The advent of Islam introduced Opium as narcotic.
Bleeding was stopped by ligation of blood vessels, cauterization by heat,
application of different herbal medicines locally, that facilitate clotting.
Cataract surgery was known to Sushruta in the early centuries of the first
millennium.
Abbasid Caliphate. These Arabic works made their way in to Europe.
Joseph Constantine Carpue, who spent 20 years in India studying local plastic
surgery methods performed the first major surgery in the western world in 1815.
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SurgicalInstruments
used
by
Sushruta (
Yanthras and
Shastras)